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General NPI Number Information
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NPI Number | 1912844010
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Entity Type | Organization
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Legal Business Name | GREEN ANGELS COLLECTIVE
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 100 NICOLLS RD
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City | STONY BROOK
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State | NY
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Zip | 11794-0001
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Country | US
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Telephone | 631-317-7886
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Fax |
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Provider Business Mailing Address
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Address Line | 1104 HERKIMER ST APT 2
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City | BROOKLYN
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State | NY
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Zip | 11233-3128
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Country | US
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Telephone | 631-317-7886
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Fax |
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Authorized Official
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Title or Position | DT
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Name | MISS ANGEL R. SHEFFEY
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Credential | DOULA
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Telephone | 631-317-7886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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